Why don't implants last longer?

The final frontier. Deciding when, if and how.
wolfcreek
Posts: 201
Joined: Wed Sep 28, 2016 4:16 am

Why don't implants last longer?

Postby wolfcreek » Mon Jan 23, 2017 9:42 am

Why don't the manufacturers use a higher grade plastic? It wouldn't cost much more for them would it? After all, I can go to the dollar store and buy some cheap resealable containers or I can spend a little bit more and get long lasting Tupperware containers. How are implants different in this respect?? Just thinking out loud here....

You probably won't fully appreciate my question unless you have suffered through a broken implant (and expensive revision), by the way...

David_R
Posts: 2145
Joined: Mon Nov 02, 2015 1:03 pm

Re: Why don't implants last longer?

Postby David_R » Mon Jan 23, 2017 11:16 am

Sorry, man. My first implant (inserted in 2002) lasted 12 years with no problems (and yes, it was used regularly, in case anybody has a prurient interest in that detail), and then it was replaced in 2014 with another one which has been working fine for the 2.5 years I've had it (and it's being used regularly as well).

dg_moore
Posts: 1885
Joined: Mon Apr 25, 2011 9:34 am

Re: Why don't implants last longer?

Postby dg_moore » Mon Jan 23, 2017 12:20 pm

Do you seriously believe the mfrs don't use the very best materials available?
Dave, 80, Maryland - Implant (Titan) 2008 by Dr. Andrew Kramer (failed Sept 2020) - never used due to a stroke that, among other things, ended my sex life.
Life is not the way it's supposed to be, it's the way it is.

wolfcreek
Posts: 201
Joined: Wed Sep 28, 2016 4:16 am

Re: Why don't implants last longer?

Postby wolfcreek » Tue Jan 24, 2017 1:11 am

I don't know. Share with us what you know about the plastics used by the manufacturers, please.

alibaba
Posts: 3027
Joined: Sun Oct 12, 2014 8:04 pm

Re: Why don't implants last longer?

Postby alibaba » Tue Jan 24, 2017 1:39 am

I've dealt with engineers 1/2 my life and have a family full of them.There is always someone in accounting or at the stockholders meeting to answer to. At one time I called a company, now owned by AGCO, asked for engineering and asked why they could not make a tractor that would last; why I had to redesign or hire outside companies to manufacture parts to extend the life cycle of the parts to keep the same part from failing over and over? These were at the time $85,000 tractors still under warranty. Similar machines today cost around $400,000. The guy told me straight up: "We design them to last forever,then we send it to marketing and they send it back telling us to cheapen it up or we won't be able to sell it". My fix for the problem was to buy a $225,000 industrial tractor after 4 of the others. Still have it 38 years later. How many of us and our insurance companies are willing to buy an industrial dick that lasts 9 times as long and costs 2 1/4 times as much? Would you pay that price for one that outlives several cycles of new innovative products? It is a hard choice few will pay with advantages and disadvantages.

I have issues with cheapened up products. My customers tell me to cheapen my product and I refuse. If they want to me to cheapen my product where it may damage my reputation, I walk. I will compromise on many things but not quality.

I am sure as long as they can pass FDA approval they are fine within the rules. Basically the product has some degree of benefit and does not harm the patient to a degree more than the benefit. I do not think there is any standard I have read that the product has to provide benefit for a certain period of time before wearing out or failing. Reading product labels I find it often appalling how little benefit some approved products have. One cancer drug comes to mind. Increases the average user of that drugs lifespan. Read the label and studies. 55% of the patients live an average of 4-6 weeks longer. $35,000 for a month. Ads show all the extra time spent playing on swing sets with family when the reality is they are likely in hospice care awaiting death in that last month of life. Cost vs. benefit never seems to be calculated in.
LGX 21cm .Milam 01/13/16. Horror; both service and surgical outcome. hated infrapubic installation. Kramer revision 03/01/17. 22cm Titan +1.5cm extender. Those who think their opinion is the only one that matters are a danger to themselves and others.

Lenny1965
Posts: 76
Joined: Tue Oct 18, 2016 2:28 am

Re: Why don't implants last longer?

Postby Lenny1965 » Tue Jan 24, 2017 9:13 am

Wolf, at some point, i think someone will... today's implant not all that much improved from 30 years ago
Going with AMS in nov 2016. Provider is Coastal Urology Assoc, Brick, NJ, Dr. Kevin T. Gioia

JerGeezer
Posts: 102
Joined: Sun Sep 15, 2013 9:24 pm

Re: Why don't implants last longer?

Postby JerGeezer » Tue Jan 24, 2017 12:28 pm

today's implant not all that much improved from 30 years ago


I agree. The first AMS I got in 1995 is almost identical to this third one I got in 2013. The only thing different is the pump and the first one was the best of the bunch.
I'm 75 and got an AMS Ultrex in 1995. Had it replaced in 1999. Got a new AMS 700 LGX in 2013.

Lost Sheep
Posts: 6162
Joined: Mon Jul 04, 2016 11:16 pm

Re: Why don't implants last longer?

Postby Lost Sheep » Tue Jan 24, 2017 3:01 pm

JerGeezer wrote:
today's implant not all that much improved from 30 years ago


I agree. The first AMS I got in 1995 is almost identical to this third one I got in 2013. The only thing different is the pump and the first one was the best of the bunch.

???
First one lasted 4 years. Number 2 lasted 14 years. Number 3 is 3 years old and still operating.

Looks like progress to me.

Not to argue, but I sure hope each new innovation is an improvement.

Lost Sheep
Lost Sheep
AMS LGX 18+3 Nov 6, 2017
Prostate Cancer 2023
READ OLD THREADS-ask better questions -better understand answers
Be part of your medical team
Document pre-op size-photos and written records
Pre-op VED therapy helps. Post-op is another matter

alibaba
Posts: 3027
Joined: Sun Oct 12, 2014 8:04 pm

Re: Why don't implants last longer?

Postby alibaba » Tue Jan 24, 2017 9:33 pm

Evolution of the erector kit dick in the link below.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4355428/
LGX 21cm .Milam 01/13/16. Horror; both service and surgical outcome. hated infrapubic installation. Kramer revision 03/01/17. 22cm Titan +1.5cm extender. Those who think their opinion is the only one that matters are a danger to themselves and others.

ShopMan
Posts: 354
Joined: Mon Mar 11, 2013 6:33 am

Re: Why don't implants last longer?

Postby ShopMan » Wed Jan 25, 2017 10:00 pm

Mine has quit working after just over two years. Meeting with URO Feb. 1 to discuss options. To make matters slightly different my original uro retired this past year and I have a new guy who seems very qualified. Not sure what he will recommend. I now have a AMS LGX.
Charlie
80 yrs. Married 60 years. Hypertension but under control with meds.

ED since 1995. Viagra then switched to Cialis. Both quit working.
Was on Trimix. Tri-Mix quit working. Implanted by Dr. Novak Grand Rapids, Mi 12/16/2014 AMS LGX


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